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General NPI Number Information
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NPI Number | 1598952012
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Entity Type | Individual
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Provider Name | DENNIS SLATE PSYD
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Gender | Male
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 04/17/2008
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Provider Practice Location Address
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Address Line | 5330 GRIGGS RD SUITE B-108
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City | HOUSTON
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State | TX
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Zip | 77021-3700
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Country | US
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Telephone | 713-533-0022
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Fax | 713-533-9915
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Provider Business Mailing Address
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Address Line | 8610 SILVER LURE DR
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City | HUMBLE
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State | TX
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Zip | 77346-8140
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Country | US
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Telephone | 281-796-1485
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 33518
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License Number State | TX
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